Mohammad Sobhi Elmenini, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301065777 Issued in MI

Practice address

10645 W Warren Ave
Dearborn, MI 48126-1191

Phone

(313) 945-9393

Fax

(313) 945-9122

NPI assigned

May 19, 2006

Last updated

Jun 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providers Home Care Home health agency, Dearborn, MI, CCN 237771
• Amber Home Health Care, Inc Home health agency, Southfield, MI, CCN 237527
• Beaumont Home Health Home health agency, Troy, MI, CCN 237112
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manor Medical Center PC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1427102508
  Medicare reassignment NPD
• Oakwood Healthcare, Inc.

  dba Beaumont Hospital - Dearborn

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amber Home Health Care, Inc.

  • Home Health Agency
  • Southfield, MI
  • NPI 1063477875
  Care Compare affiliation
• Beaumont Ashn, LLC

  dba Beaumont Home Health and Hospice, LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1811461734
  Care Compare affiliation
• Oakwood Healthcare Inc

  dba Beaumont Outpatient Diabetes Education

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  dba Beaumont Hospital - Dearborn

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• Providers Home Care, LLC

  • Home Health Agency
  • Dearborn, MI
  • NPI 1790972123
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1821042581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481268009",
            "telephone_number": "313-945-9393",
            "fax_number": "313-945-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261191",
            "telephone_number": "313-945-9393",
            "fax_number": "313-945-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMENINI",
        "first_name": "MOHAMMAD",
        "middle_name": "SOBHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301065777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3469000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nada Y Elmakshbr
• Yahya Elmallah, DDS
• Ali Elmasri
• Sirin Elmasri
• Fahman Elmathil
• Safaa Elmessiri
• Nagham Hassan Elmir, DDS
• Sophia Elmuradi, B.D.S, MS, DDS
• Safya Alaa Elnady
• Maha Elnazir

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.